Mark Tolsma, APN is a medicare enrolled "Nurse Practitioner - Family" in Upper Saddle River, New Jersey. His current practice location is
2 Park Way, Upper Saddle River, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 882-7526.
Mark Tolsma is licensed to practice in New Jersey (license number 26NJ14890200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902588700.
Provider's Profile
| Full Name | Mark Tolsma |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2 Park Way, Upper Saddle River, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902588700
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204299233
- Enrollment ID: I20230824000070
Medical Identifiers
Medical identifiers for Mark Tolsma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902588700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ14890200 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Tolsma allows following entities to bill medicare on his behalf.
| Entity Name | Dispatch Health Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447716873
PECOS PAC ID: 9436490562
Enrollment ID: O20190417002629 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Tolsma is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mark Tolsma, APN
46 School St,
North Haledon, NJ 07508-2529
Ph: (551) 697-4209 | Mark Tolsma, APN
2 Park Way,
Upper Saddle River, NJ 07458-2345
Ph: (201) 882-7526 |
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